| NPI | 1114109865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY DANIEL FRERE President 303-948-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CO 6152) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 6152) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2008-07-15 |